NPI | 1316113061 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL C KJELDGAARD Doctor Of Chiropractic 712-256-5540 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IA 06482) |
Enumeration Date | 2008-05-02 |
Last Update Date | 2008-05-02 |